When providing teaching to the guardian of a child who has leukemia about methods to prevent complications, which of the following statements by the guardian indicates an understanding of the teaching, as assessed by a home health nurse?
"I'm sure my child will feel better now that he can ride his bicycle."
"I will make sure my child gets a measles, mumps, and rubella vaccine this week."
"I should take my child's rectal temperature daily."
"I should inspect my child's mouth for sores."
The Correct Answer is D
Children with leukemia are at risk for developing oral mucositis, which is inflammation and ulceration of the oral mucosa due to the destruction of rapidly dividing cells by chemotherapy. Inspecting the child's mouth for sores and providing appropriate mouth care is essential to prevent infection and to maintain hydration and nutrition. Riding a bicycle is not recommended for a child with leukemia because of the risk of falls and injuries, and the measles, mumps, and rubella vaccine is contraindicated for children with leukemia who are receiving chemotherapy. Measuring the temperature orally or axillary is a safe and accurate method for monitoring the child's temperature.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Interviewing shelter residents to determine the effectiveness of coping behaviors:This is a secondary prevention strategy as it focuses on early identification of stress-related conditions or mental health concerns in disaster survivors. By assessing coping behaviors, the nurse can detect maladaptive responses and intervene early to prevent further mental or physical health complications.
Incorrect:
A. Compiling resources available to transition individuals from shelters to a home:This is a tertiary prevention strategy because it focuses on helping individuals recover and rebuild their lives post-disaster.
C. Publishing a listing of shelter locations in local media sources:
This is a primary prevention strategy as it involves preparedness and prevention. Providing information about shelter locations can help individuals seek immediate refuge during a disaster, reducing exposure to harm.
D. Providing age-appropriate activities for shelter residents:This intervention aligns with tertiary prevention, as it aims to promote emotional recovery and well-being for individuals who have already experienced a disaster. Age-appropriate activities help reduce stress and enhance coping for shelter residents.
Correct Answer is B
Explanation
The nurse should first assess the client's understanding of her living situation. Understanding the client's perceptions of her living situation will help the nurse develop an effective plan of care that addresses the client's concerns and priorities. Once the nurse understands the client's perspective, the nurse can help the client develop goals for obtaining shelter, discuss the risks of being homeless, and develop client teaching using a variety of strategies.
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